Abstract
Scambler presents an interesting selective review of the health inequalities literature. I leave to others a critique of his explanatory model. I focus, rather, on his main point: that the basic social structural and political determinants of health inequalities have been neglected. Health inequalities in the developed nations require contextualisation. Today we are faced with a famine in East Africa, not the first, and, unfortunately I believe, not the last. We also live in a world of immense contrasts in wealth and in health between and within nations. While there are high relative inequalities in both wealthy and poor nations, the largest absolute health inequalities occur in the poorer countries. Moreover, in OECD nations SES differences explain only a part of the variance in total health inequalities.
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